Individual provider · NPI-1
Fahad Aldawsari, MD
Radiology, Vascular & Interventional Radiology · Charleston, SC
NPI number1538083274
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1538083274
- Entity type
- Individual (NPI-1)
- Name
- Fahad Aldawsari
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2026
- Certification date
- Jul 21, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | MDD.LL97572 | SC | Yes |
Practice location
25 Courtenay DriveMsc 226 Division Of Vascular & Interventional Radiology
Charleston, SC 29425
Phone 843-792-9271
Mailing address
99 Westedge StCharleston, SC 29403-4717
Phone 843-330-7566
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